Saul Kagan Claims Conference Fellowship for Advanced Shoah Studies APPLICATION FOR POST DOCS This application must be sent via email to Chavie.Brumer@claimscon.org Last Name: First Name: Middle initial: Current address: Street: Apt/Floor Number: City: State/Province: Country: Postal/Zip code: Telephone: Fax: E-mail: Permanent address: Street: Apt/Floor Number: City: State/Province: Country: Postal/Zip code: Telephone: Fax: E-mail: Name of university/institution hosting you while doing your Post Doctorate: What year did you begin the program? What year do you expect to complete the program? Name of supervisor/advisor: What is your Post Doc research topic? -1- What languages do you know? Please be detailed in describing your ability to speak, read and understand these languages. Use as much of the space below as necessary. Name of university where you did your Bachelors level work: Year of Graduation: Final GPA: Degree Received: Area of Study: Name of university where you did your Masters level work: Year of Graduation: Final GPA: Degree Received: Area of Study: Name of university where you received your Ph.D. Topic of your Ph.D. dissertation: Field of study you received your Ph.D. Year you received you Ph.D: Name of supervisor/advisor: Names of your 3 Referees: List all academic prizes or awards you have received (you may add extra pages): -2- Please complete the following Other Funding Chart: The Kagan Fellowship award amount is a maximum of $20,000 per year. A candidate who has applied or is applying for other funding is eligible to apply to the Kagan Fellowship. However, a candidate who is already confirmed to receive $20,000 or more in other funding (this excludes university tuition) for the Kagan Fellowship funding year for which he/she is applying would not be eligible to apply. If you are not planning on applying for other funding, please check this box: ⟤ Funding Source Name Amount Offered (per month or per year) Dates the Award Covers (from/to month and year) -3- Date You Will Be Notified of Award